Individual
MS. LEANN GAIL JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3711 EXECUTIVE CENTER DRIVE SUITE 201, MARTINEZ, GA 30907-0951
(706) 955-9224
(706) 955-9349
Mailing address
3711 EXECUTIVE CENTER DRIVE SUITE 201, MARTINEZ, GA 30907-0951
(706) 955-9224
(706) 955-9349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527365613A
—
GA
Enumeration date
03/09/2007
Last updated
11/15/2018
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